A salvage operation for flap compromise following internal jugular venous thrombosis

The internal jugular vein (IJV) has been described as the optimal recipient vessel in oral and maxillofacial microsurgical rehabilitation and reconstruction. However, few studies have been reported on IJV thrombosis, which could compromise flap survival. In the current study, a case of flap vascular crisis following IJV thrombosis is presented, and salvage operation as a management strategy is discussed. Although rare, surgeons specializing in oral and maxillofacial microsurgical reconstruction should be aware of the possibility of the occurrence of this condition, considering early surgical intervention is critical.